NPIMap

Organization Active NPI

Rebekah Gibney

  • Family Medicine Physician
  • Draper, UT
National Provider Identifier
1740648062
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9416815-4405 Issued in UT
Legal business name
REBEKAH GIBNEY
Practice address
11576 S State St
Suite 102B
Draper, UT 84020-6431
Phone
(801) 938-5362
Fax
(888) 503-0041
NPI assigned
Feb 1, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebekah GibneyNPI 1205018173
Title
Owner
Phone
(801) 938-5362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9416815-4405 UT Primary

Addresses

Primary practice location

11576 S State St
Suite 102B
Draper, UT 84020-6431

Mailing address

11576 S State St
Suite 102B
Draper, UT 84020-6431
Phone (801) 938-5362

National Provider Directory

National Provider Directory

Locations

11576 S State St
Ste 102B
Draper, UT 84020
Phone (801) 938-5362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1740648062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11576 S STATE ST",
            "address_2": "SUITE 102B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206431",
            "telephone_number": "801-938-5362",
            "fax_number": "888-503-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 S STATE ST",
            "address_2": "SUITE 102B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206431",
            "telephone_number": "801-938-5362",
            "fax_number": "888-503-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEKAH GIBNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "GIBNEY",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-938-5362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9416815-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.